Artroplastia total do quadril não cimentada em pacientes com artrite reumatóide

Rabello, Bruno Tavares; Cabral, Fernando Pina; Freitas, Emílio; Penedo, Jorge; Cury, Marco Bernardo; Rinaldi, E; Peixoto, Lourenço P.

doi:10.1590/s0102-36162008000800004

Cited by 7 publications

(5 citation statements)

References 14 publications

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“…Rabello et al [15], analisaram os resultados clínicofuncional de 24 pacientes submetidos a ATQ não cimentada com artrite reumatóide, 22 apresentaram resultados bons e excelentes com destaque para a melhora do parâmetro de dor. Concluindo-se que os resultados sugerem, após seguimento médio de 5.6 anos, que a ATQ não cimentada, pode ser uma opção satisfatória nas coxoartroses de pacientes portadores de artrite reumatóide.…”

Section: Discussionunclassified

Abordagem fisioterapêutica em diferentes tipos de artroplastia de quadril

Urso¹

2017

Fisioter Bras

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Introdução: Artroplastia de quadril (AQ) é uma técnica que realiza a substituição total ou parcial da articulação do quadril por prótese cimentada e não cimentada. Existem diferentes protocolos de reabilitação no pré e pós-operatório que englobam a marcha, descarga de peso e cinesioterapia. O objetivo deste estudo foi realizar uma revisão da literatura sobre a abordagem fisioterapêutica nos diferentes tipos de AQ. Método: Foi realizada uma revisão bibliográfica compreendida entre o ano de 1993 a 2008, pesquisada no período de agosto de 2008 a abril de 2009, nas bases de dados PubMed, Cochrane, Medline, Lilacs e Scielo. Conclusão: Foi possível observar que a AQ não cimentada apresenta bons resultados e menor incidência de complicações. Os protocolos fisioterapêuticos não entram em um consenso em relação ao tempo exato para a execução dos mesmos, porém podemos afirmar que a fisioterapia é essencial no pré e pós-operatório. É necessário que haja mais estudos relacionados a protocolos específicos que abordem a fisioterapia em diferentes tipos de protetização.Palavras-chave: artroplastia total de quadril, artroplastia parcial de quadril, fisioterapia, reabilitação.

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Section: Discussionunclassified

Abordagem fisioterapêutica em diferentes tipos de artroplastia de quadril

Urso¹

2017

Fisioter Bras

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“…According to several authors, this parameter constitutes definitive evidence of instability and loosening. 18 , 19…”

Section: Methodsmentioning

confidence: 99%

Preliminary analysis on the MD-4® plasma-sprayed titanium acetabular component

Loures

Simoni

Leite

et al. 2015

Revista Brasileira de Ortopedia (English Edition)

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ObjectivesTo evaluate the short-term performance of a type of implant manufactured in Brazil.MethodsThis study analyzed a cohort of 60 patients who underwent implantation of MD-4® acetabular components during primary hip arthroplasty procedures performed between January 1, 2010, and August 1, 2012. The patients were studied retrospectively with regard to clinical behavior, stability and radiological osseointegration. The patients were followed up for a minimum of 12 months and a maximum of 42 months (mean: 27) and were evaluated by means of the Harris Hip Score, SF-36 questionnaire and serial conventional radiographs.ResultsAll the components were radiologically stable, without evidence of migration or progressive radiolucency lines. On average, the Harris Hip Score evolved from 36.1 to 92.1 (p < 0.001) and the SF-36 showed significant increases in all its domains (p < 0.001). No differences were observed among patients with osteoarthrosis, osteonecrosis, hip dysplasia or other conditions.ConclusionsThe short-term results showed clinical and radiological signs of stability and osseointegration of the implants, which may represent a predictive factor regarding medium-term survival of this acetabular component.

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“…However, surgical technique improvements and the evolution of implants and its friction surfaces, which provide less wear and tear, have widened the universe of patients who could benefit from this procedure. 1 …”

Section: Introductionmentioning

confidence: 99%

The use of tranexamic acid in patients submitted to primary total hip arthroplasty: an evaluation of its impact in different administration protocols

Melo

Lages

Madureira

et al. 2017

Revista Brasileira de Ortopedia (English Edition)

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ObjectivesThere is still no consensus as to the best form and dosages of use of tranexamic acid. The aim of this study was to evaluate the use of tranexamic acid in total hip arthroplasty, in order to reduce blood loss and decrease hemoglobin, taking into account different administration protocols.Methods42 patients submitted to total hip arthroplasty were divided into three groups. The study was prospective and randomized. Group 1 received a venous dose of tranexamic acid of 15 mg/kg, 20 min prior to bolus incision. Group 2 received an intravenous dose of 15 mg/kg bolus, 20 min before the incision, and an extra dose of 10 mg/kg by infusion pump during the duration of the surgical procedure. Patients in group 3 did not receive tranexamic acid, being the control group. Pre- and post-operative hemoglobin levels were measured and blood loss was measured 24 h after surgery using a Portovac drain.ResultsThere was a significant reduction in the amount of bleeding through the Portovac drain and reduction in postoperative hemoglobin drop in patients who used tranexamic acid. There was neither significant difference in hemoglobin drop between groups 1 and 2, nor was there a need for hemotransfusion. Two patients in group 3 required blood transfusion.ConclusionsThe findings demonstrated that the use of intravenous tranexamic acid in total hip arthroplasty reduced postoperative bleeding rates and significantly reduced serum hemoglobin without increasing thromboembolic effects. The bolus and bolus + infusion pump methods were shown to have a similar influence on hemoglobin and need for blood transfusion.

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Artroplastia total do quadril não cimentada em pacientes com artrite reumatóide

Cited by 7 publications

References 14 publications

Abordagem fisioterapêutica em diferentes tipos de artroplastia de quadril

Abordagem fisioterapêutica em diferentes tipos de artroplastia de quadril

Preliminary analysis on the MD-4® plasma-sprayed titanium acetabular component

The use of tranexamic acid in patients submitted to primary total hip arthroplasty: an evaluation of its impact in different administration protocols

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